Pavila, Patrick

Pavila, Patrick is an individual health care provider with primary practice located at 829 Chief Eddy Hoffman Hwy , Bethel AK 99559. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Pavila, Patrick can be contacted via phone (907) 543-6100.

Contact Information

Primary practice address
829 Chief Eddy Hoffman Hwy Bethel AK 99559
Fax: (907) 543-6008
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922218635
LBN Legal business name Pavila, Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922218635 NPPES
Alaska MEDICAID DA4442

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